Staff Nurse - RN - Medical Management jobs in the United States

Staff Nurse - RN - Medical Management coordinates with care providers and plan members with the goal of maximizing member benefits while managing costs. Assesses medical necessity of procedures and/or admissions, conducts pre-certification or authorization, and monitors compliance with established guidelines. Being a Staff Nurse - RN - Medical Management assists members in appeals for denied services. Interprets benefits and guides members to choose to the appropriate providers, projects and resources. Additionally, Staff Nurse - RN - Medical Management typically requires a bachelor's degree in nursing. Typically reports to a manager. Requires a valid state RN license. To be a Staff Nurse - RN - Medical Management typically requires 3-5 years of related experience. Gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. (Copyright 2020 Salary.com)

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Travel Registered Nurse - Med / Surg
  • Supplemental Health Care
  • San Quentin, CA
  • Supplemental Health Care, a nationally recognized healthcare staffing provider, is currently ... Manager at 469.249.1883 or tldavis@shccares.com
  • yesterday

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STAFF RN - MAIN OR, GOOD SAMARITAN HOSPITAL, LOS ANGELES, 6:45AM-3:15PM
  • PIH Health
  • Gardena, CA
  • ... medical (physician) group, home healthcare services and hospice care, as well as heart, cancer ... Management Executives (CHIME) as one of the nation's top hospital systems for best practices ...
  • yesterday

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Travel Nurse RN - Med Surg - $1,764 per week
  • NurseFly Travel Nursing
  • New Britain, CT
  • Our managers and executive staff hold daily "Stand-Up" meetings where we not only discuss the needs ... rn, med surg nurse.
  • yesterday

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Medical Surgical Registered Nurse
  • A-Team Solutions, LLC
  • Seattle, WA
  • Registered Nurse- Med/Surg Place of Performance: Seattle, WA A-Team Solutions is seeking an Med ... management consulting, analytic studies, information technology (IT) services, and staff ...
  • yesterday

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RN Home Health
  • Medical Recruiting Strategies
  • San Ramon, CA
  • In addition to customized care and patient instruction for Chronic Disease Management, RNs provide ... Medical Staffing Solutions
  • 2 days ago

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Travel Nurse RN - Med Surg - $1,904 per week
  • NurseFly Travel Nursing
  • Agawam, MA
  • Our managers and executive staff hold daily "Stand-Up" meetings where we not only discuss the needs ... rn, med surg nurse.
  • 2 days ago

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Workers' Comp Registered Nurse Case Manager (Field) 1 yr exp req
  • Orchard Medical Consulting
  • San Jose, CA
  • Orchard Medical Consulting is corporately located in Phoenix with additional full time staff in California, Colorado, Nevada, New Mexico, Utah, and Texas. Our Nurse Case Managers coordinate medical ...
  • 5 days ago

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Registered Nurse (RN) - Home Health & Hospice
  • Continuum Medical Staffing
  • South Lake Tahoe, CA
  • Home Health & Hospice RN needed for long term contract assignment in South Lake Tahoe, CA. Housing ... Medical Staffing employs and places healthcare professionals such as Senior Leader Management ...
  • 6 days ago

Income Estimation for Staff Nurse - RN - Medical Management jobs
$74,228 to $86,814